MID SOUTH HOME CARE LLC NPI 1336672641

NPI Information

  • NPI: 1336672641
  • Provider Name: MID SOUTH HOME CARE, LLC
  • Classification: In Home Supportive Care - 253Z00000X
  • Entity Type: Organization
  • Address: 234 W COURT ST
    BROOKHAVEN, MS
    ZIP 39601
  • Phone: (601) 563-8092

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NPI Details

MID SOUTH HOME CARE, LLC is an in home supportive care in Brookhaven, MS. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. MID SOUTH HOME CARE, LLC NPI is 1336672641. The provider is registered as an organization entity type.

The provider's business location address is:

234 W COURT ST
BROOKHAVEN, MS
ZIP 39601-750
Phone: (601) 563-8092

The provider's authorized official is Lora Ann Simmons .
The authorized official title is Owner and has the following contact phone number (601) 563-8092.

The enumeration date for this NPI number is 4/5/2017 and was last updated on 4/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive Care1719MISSISSIPPIYes

What is NPI?

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This page was last updated on: 3/30/2025

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